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Fig. 4 | Surgical Case Reports

Fig. 4

From: Stepwise approach to curative surgery using percutaneous transhepatic cholangiodrainage and portal vein embolization for severe bile duct injury during laparoscopic cholecystectomy: a case report

Fig. 4

A sequential transition of liver function was shown visually. On admission, 99mTc-galactosyl human serum albumin (99mTc-GSA) single-photon emission computed tomography (SPECT) revealed the superior uptake of hepatocytes in the right liver compared with the left (a), and the volume of the right liver was also greater in quantity on CT volumetry: the left liver volume, the left liver volume rate of the whole liver, and the left liver function rate were 596 ml, 33.8 %, and 26.2 %, respectively (a’). Two weeks after percutaneous transhepatic cholangiodrainage, an extent of the uptake of hepatocytes in the left liver was almost unchanged on 99mTc-GSA SPECT (b), and the volume of the left liver was also stable on CT volumetry: the left liver volume, the left liver volume rate, and the left liver function rate were 579 ml, 33.3 %, and 26.3 %, respectively (b’). After two more weeks following portal vein embolization, 99mTc-GSA SPECT revealed the greatly improved uptake of hepatocytes in the left liver (c), and CT volumetry revealed the swelled left liver almost equal to the right liver: the left liver volume, the left liver volume rate, and the left liver function rate were 1030 ml, 49.6 %, and 54.5 %, espectively (c’). LV liver volume, FR function rate

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